夫转脉 者。由饮酒大醉。夜卧不安。多惊欲呕。转侧失枕之所生也。始发之时。在其
颈项脉转。身如振。使人寒热。其根在于小肠也。
治转脉 。发于颈项。寒热有脓。宜服连翘散方。
连翘(一两半) 玄参(一两半) 木香(一两半) 川升麻(一两) 枳壳(一两半
麸炒微黄
去瓤) 昆布(一两半洗去咸味) 川大黄(二两锉碎微炒) 大麻仁(二两)
上件药。细罗为散。每日空心。以粥饮调下一钱。
治转脉 。发于颈肿痛。寒热。出脓水不止。斑蝥丸方。
斑蝥(一分以糯米拌炒米黄为度去头足翅) 人参(三分去芦头) 地胆(一分以糯米
拌炒
米黄为度去头足翅) 当归(三分) 川升麻(三分) 麦门冬(一两去心焙) 白术(三
分) 桂
心(三分)
两去芦
头) 续断(三分)
上件药。捣罗为末。入研了药令匀。炼蜜和捣三二百杵。丸如梧桐子大。每服。以温酒
下十丸。日三服。
治转脉 。漏芦膏方。
漏芦(二斤) 本(二斤) 白马粪(半斤) 白牛粪(半斤) 白猪粪(半斤) 白
鸡粪(半
斤) 白羊粪(半斤)
上件药。漏芦 本细锉。诸粪等。各于石上烧作灰。细研。以炼了猪脂二斤煎。以乱发
一两半。合发消尽。乃下漏芦等。煎五六沸。滤去滓。再煎成膏。倾于瓷盒内盛。每用时。
先以盐汤洗。新帛拭干。然后敷膏。当以帛裹。勿使冷风吹着。每日两上贴之。
转脉病,是由于饮酒大醉,夜间睡眠不安稳,多受惊吓且想呕吐,以及翻身时枕头位置不当所导致的。发病初期,病变部位在颈项部的脉络发生扭转,身体如同被震动一般,使人出现寒热交替的症状,其病根在于小肠。
治疗转脉病,若症状发于颈项部,伴有寒热及化脓现象,适宜服用连翘散方。
连翘(一两半) 玄参(一两半) 木香(一两半) 川升麻(一两) 枳壳(一两半,用麸皮炒至微黄,去除瓤) 昆布(一两半,洗净去除咸味) 川大黄(二两,锉碎后微炒) 大麻仁(二两)
以上药材,细细过筛制成散剂。每日空腹时,用米汤调服一钱。
治疗转脉病,若症状发于颈部并伴有肿痛,出现寒热,且脓水流出不止,适宜服用斑蝥丸方。
斑蝥(一分,用糯米拌炒至米粒变黄为度,去掉头、足、翅膀) 人参(三分,去掉芦头) 地胆(一分,用糯米拌炒至米粒变黄为度,去掉头、足、翅膀) 当归(三分) 川升麻(三分) 麦门冬(一两,去掉心后焙干) 白术(三分) 桂心(三分) [注:原文此处似有脱漏“甘草”或类似字样及剂量,依文意补全逻辑,但严格按原文提取实体] 续断(三分)
以上药材,捣碎过筛成粉末,将已研磨好的药物混合均匀,用炼过的蜂蜜调和,再捣击三二百下,制成如梧桐子大小的药丸。每次服用,用温酒送服十丸,每日服用三次。
治疗转脉病,适宜使用漏芦膏方。
漏芦(二斤) 本(二斤) 白马粪(半斤) 白牛粪(半斤) 白猪粪(半斤) 白鸡粪(半斤) 白羊粪(半斤)
以上药材,将漏芦和本细细切碎,各种粪便分别在石头上烧成灰,细细研磨。用炼过的猪脂二斤煎煮,加入乱发一两半,待头发完全消融,然后放入漏芦等药材,煎煮五六次沸腾,过滤去渣滓,再次煎制成膏状,倒入瓷盒中储存。每次使用时,先用盐水清洗患处,用新布擦干,然后敷上药膏。应当用布包裹,避免冷风吹袭。每天贴敷两次。
Zhuanmai (Twisted Pulse Disease) arises from excessive drinking leading to drunkenness, restless sleep at night, frequent fright and nausea, and improper pillow positioning during turning over. At the onset, the pathology manifests as a twisting of the pulses in the neck and nape, with the body feeling as if trembling, causing alternating chills and fever; its root lies in the Small Intestine.
For treating Zhuanmai manifesting in the neck and nape, accompanied by chills, fever, and suppuration, Lianqiao San (Forsythia Powder) is indicated.
Lianqiao (Forsythiae Fructus, 1 liang 5 qian) Xuan Shen (Scrophulariae Radix, 1 liang 5 qian) Mu Xiang (Aucklandiae Radix, 1 liang 5 qian) Chuan Shengma (Cimicifugae Rhizoma, 1 liang) Zhi Ke (Aurantii Fructus, 1 liang 5 qian, stir-fried with bran until slightly yellow, pith removed) Kunbu (Sargassum Thallus, 1 liang 5 qian, washed to remove saltiness) Chuan Da Huang (Rhei Radix et Rhizoma, 2 liang, cut into pieces and slightly stir-fried) Dama Ren (Cannabis Semen, 2 liang)
The above herbs are finely sifted to make a powder. Each day, on an empty stomach, take 1 qian mixed with rice water.
For treating Zhuanmai manifesting in the neck with swelling and pain, accompanied by chills, fever, and continuous discharge of pus, Banmao Wan (Mylabris Pill) is indicated.
Banmao (Mylabris, 1 fen, stir-fried with glutinous rice until the rice turns yellow, head, feet, and wings removed) Renshen (Ginseng Radix, 3 qian, radix removed) Di Dan (Euphorbiae Pekinensis Radix, 1 fen, stir-fried with glutinous rice until the rice turns yellow, head, feet, and wings removed) Dang Gui (Angelicae Sinensis Radix, 3 qian) Chuan Shengma (Cimicifugae Rhizoma, 3 qian) Maidong (Ophiopogonis Radix, 1 liang, heart removed and dried) Baizhu (Atractylodis Macrocephalae Rhizoma, 3 qian) Guixin (Cinnamomi Ramulus, 3 qian) Xuduan (Dipsaci Radix, 3 qian)
The above herbs are pounded and sifted into powder. The ground medicines are mixed uniformly, combined with refined honey, and pounded three or two hundred times. Form pills the size of Sophora seeds. Each dose consists of ten pills taken with warm wine, administered three times daily.
For treating Zhuanmai, Loulu Gao (Radix Isatidis Ointment) is indicated.
Loulu (Radix Isatidis, 2 jin) Ben (Ligustici Rhizoma et Radix, 2 jin) Bai Ma Fen (Equi Stercus, 0.5 jin) Niu Fen (Bovis Stercus, 0.5 jin) Zhu Fen (Porci Stercus, 0.5 jin) Ji Fen (Galli Stercus, 0.5 jin) Yang Fen (Caprae Stercus, 0.5 jin)
The above herbs: Loulu and Ben are finely chopped. Each type of feces is burned to ash on a stone and finely ground. Boil with 2 jin of refined lard. Add 1 liang 5 qian of human hair, boiling until the hair completely dissolves. Then add Loulu and other herbs, boil five or six times, filter out the dregs, and reduce again to form an ointment. Pour into a porcelain container for storage. When using, first wash the area with salt water, dry with a new cloth, then apply the ointment. Wrap with cloth to prevent exposure to cold wind. Apply twice daily.